I was very lucky to see a situation like mine, but after seeing the conflict, I had to ask my question regarding 3 questions asked before on this forum.  

First one: Q #12119 Concerned. Dr. Handsfield stated: If your CSW partner tests negative, you have no worries, even if she were exposed recently. Recently exposed persons whose HIV tests are not yet positive cannot transmit the virus.  

Second one: [Question #12478] Quick Clarification: The later statement you quote obviously was a quick statement of reassurance.  

Third one: Q #12542 Fear and anxiety HIV. “26-27 days is well beyond the 'window' period when she could have infected you.”  

So Doctor, my obvious question is can a partner transmit the virus after 20-25 days tested negative, assuming he will turn positive eventually? And please, I just want a real answer—don’t reassure me, just the hard truth.  

As we have said repeatedly on this form, persons who are negative for the HIV p24 antigen OR who are HIV RNA PCR cannot transmit HIV to others.  No one will transmit HIV beyond the time when 4th generation tests are conclusive (6 weeks) or beyond 11 days if an HIV RNA PCR test is negative.  Over 98-99%of persons who are going to develop positive 4th generation tests for HIV will do so within 4 weeks (28 days) of an exposure.  The remaining ~1% will develop positive tests in the interval between 4 and six weeks.  

I hope this answers this question.  If not please ask your question succinctly and directly, and not by taking partial quotes form other replies out of context.  EWH

Doctor handsfiled said  If your CSW partner tests negative, you have no worries, even if she were exposed recently. Recently exposed persons whose HIV tests are not yet positive cannot transmit the virus.  

One follow-up remaining.  EWH

When my senior open her abdomen there was a gush of fluid mix with blood and some got into my eye not sure wether it’s a blood or fluid I saw my mask it was clear but my scrub there was a blood and fluid I definitely felt something got into my eyes , she was unbooked so no serology was done I mange to order for her HIV Ab hospital don’t offer 4th generation test also ordered for her pcr test and results will come back after one week I’m so afraid ER Dr said no risk no need for prep what should I do please give me hard truth answer 

Apparently you are not in the North America,  In the US following an exposure such as this several things would be done.  These include:

1. In North America, and most of the world, the patient would have had an HIV test during pregnancy.  Her record should be reviewed.

2.  The incident would be reported to Hospital Infection control personnel.  In the US they would then order an immediate HIV RNA PCR test or a 4th generation test on both you and the patient (it is important to document that you are not infected at this time from a legal standpoint)

3.  Unless it could be documented that the patient was HIV negative within a few hours of the exposure (the testing procedure itself should take no more than a few hours.  I do not know why it would take a week to get test results back), you would be offered PEP until her test results are known.  If she does not have HIV, the PEP can be stopped.  If she does, PEP should be continued for the standard 30 day course and then testing should be performed 4-6 weeks after completion of PEP.

This thread is now over.  I will have little or nothing more to say regarding either of the questions you asked during this exchange.  EWH